Camp Kinneret Summer Day Camp Click Here To Apply The Adventures Last A Summer,       
The Memories Last A Lifetime...

(818) 706-8255 ~ (805) 523-7711 

We can't wait for summer!
Days Until Session 1 (June 21st - July 23rd):
Days Until Session 2 (July 26th - Aug 20th):

Our Program Request A Brochure Come See Camp Camp's Accreditation Enrolled Families Forms Contact Us Join The Camp Staff
On-line Camper Health Form

Your completion of the on-line Camper Health Form does NOT require a visit to your pediatrician.

All campers are required to have a completed Camper Health Form on file in order to attend camp. Our on-line form provides you with the easiest, most efficient and accurate means by which to provide us with important information about your camper(s). The form saves you time by requiring the entry of information common to all campers in the same family only once (emergency contacts, pediatrician etc.).



Please call us if you need assistance. (818) 706-8255!


Returning Families That Submitted Paper Applications, CLICK HERE

New Families That Submitted On-Line Applications, CLICK HERE




























Returning Families That Submitted Paper Applications

You will need the following information to complete and submit your form(s). We suggest that you have this information in front of you before you continue.
  1. Are Polio and MMR immunizations current? (Yes or No)
  2. The actual month and year of the last tetanus shot or DPT?
  3. The names and at least one phone number (cell/work/home) of two emergency contacts that camp should try to reach if we cannot reach you or your spouse in the event of an emergency? One of these people should routinely be within 30-45 minutes of camp during the camp day.
  4. The first and last names of people who may pick up your camper(s) from camp or the bus stop in your absence? Commonly parents provide us with the names of relatives and/or the mother of one of their camper's friends. This is ideal, and we've learned from experience to ask for one more thing. If you are listing one parent of your camper's friend, please list both of his/her parents because sometimes the unexpected parent is called upon to pick up and if they (usually dads) are not specifically listed on your release list, we cannot assume that you give that person permission.
  5. Insurance Information: Insurance Carrier, Insurance ID#, Group Number, Carrier Address (if known), Name of Insured, Relationship to Camper
RETURNING FAMILIES - STOP AND READ!
Two important things to know BEFORE CONTINUING.
  1. The account that you created on line last year is not available to update for this summer. 2009 families must select "Create a New Account" on the following screens. This one time change is due to our effort to ensure the quality and integrity of the information that you provide. Following the 2009 season, our on line form processing was moved to a new host for 2010 and beyond. Unfortunately, this requires that returning 2009 families create a new on line account in order to complete your Camper Health Form(s). Once created, this account will remain open for future camp seasons. When creating your account, please be aware of the following:

    2. Username: Anything you choose. 5 - 30 characters - we suggest your email address.
    Password: Passwords must be 6-20 characters in length and are case sensitive.

  2. After creating your acount, you will see a screen as pictured below that will present you with options. Please be sure to select "Returning Health Form 2010".

Returning Family Health Form


Complete Health Form Now













New Families That Submitted On-Line Applications


Once you click the button below, you will be taken to the log-in page that you created when you submitted your original application. You will be asked for your Username & Password. As a reminder, you may have chosen to use your email address as your unique Username.

During the process of completing your on-line Camper Health Form, you will have the chance to review some of your original information. Please take a minute to confirm that you have typed phone numbers and email addresses correctly.

You will need the following information to complete and submit your form(s). We suggest that you have this information in front of you before you continue.

  1. Are Polio and MMR immunizations current? (Yes or No)
  2. The actual month and year of the last tetanus shot or DPT?
  3. The names and at least one phone number (cell/work/home) of two emergency contacts that camp should try to reach if we cannot reach you or your spouse in the event of an emergency? One of these people should routinely be within 30-45 minutes of camp during the camp day.
  4. The first and last names of people who may pick up your camper(s) from camp or the bus stop in your absence? Commonly parents provide us with the names of relatives and/or the mother of one of their camper's friends. This is ideal, and we've learned from experience to ask for one more thing. If you are listing one parent of your camper's friend, please list both of his/her parents because sometimes the unexpected parent is called upon to pick up and if they (usually dads) are not specifically listed on your release list, we cannot assume that you give that person permission.
  5. Insurance Information: Insurance Carrier, Insurance ID#, Group Number, Carrier Address (if known), Name of Insured, Relationship to Camper
The final important thing to know is that you will see a screen that will present you with options. Please be sure to select the "New Family Health Form 2010".

New Family Health Form



It takes just a few minutes for most people to complete the on-line Camper Health Form.

If you're ready to get started, simply click the button below.

Complete Health Form Now